Tatiana Becerra Hickenbottom, PA-C

NPI #1376019513 in Leander, Texas

Provider Information

NPI Number: 1376019513
Entity Type: Individual
Name: Tatiana Becerra Hickenbottom, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2018
Last Updated: Sep 25, 2023

Practice Location

Address: 1361 HERO WAY STE 101
City: Leander
State: Texas
ZIP Code: 78641-5579
Phone: (512) 244-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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